封堵器联合输尿管镜与微通道经皮肾镜在治疗输尿管上段结石中的疗效对比  

Comparison of occluder combined with ureteroscopy and microchannel percutaneous nephrolithotomy in the treatment of upper ureteral calculi

作　　者：丁小波[1] 徐鹏程[1] 陈德刚[1] 桑士仿[1] 彭家武[1] 葛庆生[1] 王凤龙 许传 Ding Xiaobo;Xu Pengcheng;Chen Degang;Sang Shifang;Peng Jiawu;Ge Qingsheng;Wang Fenglong;Xu Chuan(Department of Urology,Lu'an People's Hospital,Lu'an 237005,China)

机构地区：[1]六安市人民医院泌尿外科,237005

出　　处：《国际泌尿系统杂志》2020年第2期207-210,共4页International Journal of Urology and Nephrology

摘　　要：目的比较封堵器联合输尿管镜钬激光碎石(URL)与微通道经皮肾镜钬激光碎石术(MPCNL)治疗输尿管上段结石的疗效。方法回顾性分析本院2015年1月至2016年10月收治的80例输尿管上段结石患者资料,其中URL中应用管路封堵器40例(联合治疗组),MPCNL组40例,比较一次性碎石成功率、1个月后结石清除率、手术及住院时间、手术并发症发生率、在两种手术组中的差异。结果一次性碎石成功率:联合治疗组87.5%(35/40),MPCNL治疗组97.5%(39/40),1个月后结石清除率:联合治疗组97.1%(34/35),MPCNL治疗组97.4%(38/39),差异无统计学意义(P>0.05)。手术及住院时间:联合治疗组手术时间(43.3±13.6)min,住院时间(5.2±1.5)d,MPCNL组手术时间(65.4±14.5)min,住院时间(8.4±2.1)d,差异有统计学意义(P<0.05)。术后并发症:联合治疗组发热3例,MPCNL组术后明显血尿3例,后均行保守治疗好转,术后并发症两组差异无统计学意义(P>0.05)。结论VRL、MPCNL均为处理输尿管上段结石的可靠手术方法。Objective To compare the efficacy of occluder combined with ureteroscopic lithotripsy(URL)and minimally invasive percutaneous nephrolithotomy(MPCNL)in the treatment of upper ureteral calculi.Methods Retrospective analysis of 80 patients with upper ureteral calculi from January 2015 to October 2016 in our hospital,including URL in 40 cases of occlusion device(combination group),MPCNL group of 40 cases was performed.The success rate of disposable lithotripsy,stone clearance after 1 month,incidence of surgical complications,and time of surgery and hospitalization were compared between the two surgical groups.Results The success rate of disposable lithotripsy:87.5%(35/40)in the combined treatment group,97.5%(39/40)in the MPCNL treatment group,and stone clearance rate after 1 month:the combined treatment group 97.1%(34/35),97.4%(38/39)of the MPCNL treatment group,the difference was not statistically significant(P>0.05).Surgery and hospital stay:operation time(43.3±13.6)min,hospitalization time(5.2±1.5)d,MPCNL operation time(65.4±14.5)min,hospitalization time(8.4±2.1)d,the difference was statistically significant(P<0.05).Postoperative complications combined with treatment group in 3 cases,MPCNL after hematuria in 3 cases,after conservative treatment improved,there was no significant difference between the two groups(P>0.05).Conclusions The ureteral occlusion device combined with ureteroscopy and MPCNL are reliable surgical methods for the treatment of upper ureteral calculi.

关 键 词：输尿管结石 封堵器 输尿管镜检查 肾造口术 经皮 

分 类 号：R699[医药卫生—泌尿科学]